PCC 7.2 Migration Considerations

The PCC 7.2 release includes new features that may need extra planning, training, or configuration. Read below to learn more, and share relevant details with your physicians and staff.

Read the PCC EHR 7.2 Release Documentation for complete details on these features.

Contact PCC Support at 1-800-722-1082 for information about these or any features in PCC 7.2.

Define User Permissions for New and Updated Features in PCC 7.2

After your PCC 7.2 update, you should review and assign permissions to user roles for several new and updated permissions.

To make changes, open the User Administration tool and edit a role on the Roles tab.

The new or updated permissions in PCC 7.2, which you can allow or disallow for any of your user roles, are:

  • PCC EHR Audit Log: The PCC EHR Audit Log displays all activity in PCC EHR based on a date, user, or patient. You should grant the PCC EHR Audit Log permission to any role that needs to review who accessed charts or who made changes in a chart.

  • Patient Portal Administration: The Patient Portal Administration permission controls whether a user can log into the Patient Portal Administration tool, either using a custom website or by using the Patient Portal Manager in PCC EHR. You should grant this ability to any user role that needs to create MyKidsChart accounts for families, change passwords, or in other ways administer portal accounts.

  • Patient Portal Configuration: The Patient Portal Configuration permission controls whether a user can adjust practice-wide settings for MyKidsChart, found in the second tab of the Patient Portal Manager tool. You should grant this permission to roles that will be responsible for whether or not the patient portal supports messaging and what content will appear in the patient portal.

Assign Care Centers to Users

Is your office part of a multi-location practice that uses PCC’s Care Center features? After your 7.2 update, an office manager or other administrative user at each care center location should review and set the care center for each PCC EHR user.

Many features in PCC EHR, including order assignment, provider lists, and MyKidsChart administration will refer to a user’s care center.

Use the User Administration tool to edit a user’s Care Center.

For best results, make this assignment soon after your PCC 7.2 update. The Care Center field controls who each PCC EHR user will see in various pull-down menus, and controls which MyKidsChart location they will access when using the Administration tab of the Patient Portal Management tool.

If a user floats between multiple locations, you can leave their care center blank. A user with no care center assigned will see and be visible to all other users, regardless of care center.

If your practice used a name field to indicate a user’s care center, you can now remove those adjustments.

Have You Linked Clinicians to Partner Providers?: Some PCC features, including Care Center features, rely on having PCC EHR users linked to the providers in the Partner practice management system. You can see whether or not your clinicians are linked up in the new Provider column in the User Administration tool.

If you believe a provider is not correctly assigned, open the Providers table in Partner and enter the appropriate PCC EHR user.

Review PCP Configuration and Workflow for the Patient Information Button

The new Patient Information button displays a patient’s most recent weight, percentile, and their primary care physician. You may want to review the button with your clinicians so they can take advantage of the new features when importing documents for a physician’s attention or when prescribing medications, for example.

The primary care physician will only display if your practice uses the PCP feature. You can turn the PCP field on or off for your practice in the Account and Patient Editing section of the Configuration Editor (ced) in Partner.

After making a change, the PCC system needs 24 hours to adjust your database to display the new field.

Prepare For Down Syndrome Growth Charts and Vitals Percentiles

Down syndrome growth charts and vitals percentiles will appear for all patients with a Down syndrome diagnosis on their Problem List. The vitals are marked with an “AAP DS” indicator, but your staff and your families that use MyKidsChart may need help understanding that they are now seeing Down syndrome percentiles.

For configuration, your practice can hide, show, and arrange the complete list of available growth charts and also set which diagnoses cause the Down syndrome charts to appear.

First, open the Growth Chart Configuration tool in the Tools menu.

On the “Growth Chart” tab of the Growth Chart configuration tool, click on a checkbox to hide or show a growth chart. You can also move or rearrange the growth charts so they will appear in a different order on the pull-down menu in the patient’s chart.

On the “Down Syndrome Diagnoses” tab of the Growth Chart configuration tool, you can review and edit the list of SNOMED diagnoses that determine whether a patient’s chart will display the Down syndrome growth charts. Click the plus sign (+) to add additional diagnoses.

ICD-9 758.0: The ICD-9 code set is no longer used in PCC EHR, but many patient Problem Lists may still only list the old 758.0 Down syndrome diagnosis code and not a newer SNOMED description. PCC added a checkbox to the Growth Chart configuration so that patients with the old diagnosis will also default to the Down syndrome growth charts and vitals percentiles.

Deactivate Down Syndrome Growth Charts and Vitals: Your practice can turn off all Down syndrome growth charts and the Down syndrome vitals percentiles by removing and deselecting all diagnoses from the Down Syndrome Diagnoses tab.

Update Your Auto-Notes

PCC 7.2 improves Auto-Notes features, making them more responsive and powerful. Your practice may want to take this opportunity to review and update your Auto-Notes configuration.

For example, before the PCC 7.2 update, clinicians may have found it useful to only configure a standard “Normal” Auto-Note, since it was less likely they would initially click “Make All Abnormal”. Your clinicians can use this update as an opportunity to review their Auto-Notes and enter alternate selection notes for some components, for some chart note protocols. To learn more, read the Auto-Notes help article.

Review Vaccine Lots and Add Funding Sources, Adjust Practice Workflow

Use the Immunization Configuration tool to update lots with a funding source, and adjust your practice workflow so that you enter a funding source whenever you add new lots to PCC EHR.

To enter a funding source for an immunization lot, open the Immunization Configuration tool in the Tools menu.

Your practice may previously have used a lot number suffix or naming convention to indicate that a lot was VFC. You can now assign VFC lots the “Federal Funds” funding source instead, which will allow clinicians to quickly select the correct lot when they order or administer immunizations.

Prepare for New Documents Features

You can now give a document a title and share a document with families through MyKidsChart.

Your practice may want to develop a policy for which documents can be shared with a family, and by whom. You may also want to review how you will title documents so they will be easier to find later.

Turn Off Documents in MyKidsChart: If your practice does not want to share documents through the patient portal, you can turn this feature off in the Patient Portal Manager in the Tools menu.

Review Diagnosis and Billing Configuration for New SNOMED-CT Favorites

The PCC 7.2 update adds hundreds of new SNOMED descriptions to your PCC EHR diagnosis tools. As part of the update, PCC added 795 new terms to your practice’s Favorites list. (The diagnosis Favorites list is the list of diagnoses that are searched whenever you begin typing in a diagnosis field.)

After your PCC 7.2 update, you may wish to review your Favorites and other diagnosis settings for new SNOMED descriptions. Use the Diagnosis Configuration tool to review lists and make changes.

Next, your practice may also wish to review billing configuration for new SNOMED diagnosis descriptions. Use the Billing Configuration tool to review what ICD-10 diagnoses are mapped to each SNOMED-CT description.

New Favorites That Do Not Have Assisted Mapping: Of the 795 new SNOMED diagnosis descriptions added to the diagnosis Favorites list, 347 of them do not have “assisted mapping” to an ICD-10 billing code. That means that if a physician uses one of these diagnoses on a chart, the biller will need to select an appropriate ICD-10 billing code later. You can proactively assign ICD-10 codes to these new SNOMED descriptions, and review the mapping for any diagnosis, in the Billing Configuration tool. A complete list of SNOMED diagnoses that were added to the Favorites list by the 7.2 update that do not have a default ICD-10 mapping appears below.

Abnormal chest soundsAbscess of calfAbscess of skin of abdomenAbscess of skin of breastAbscess of thumb
Acquired bilateral pes planusAcquired dysphasiaAcquired hammer toe of left footAcquired hammer toe of right footAcquired hammer toes of bilateral feet
Acute adenoiditisAcute aspiration pneumoniaAcute bronchitis caused by coxsackievirusAcute bronchospasmAcute exacerbation of asthma co-occurrent with allergic rhinitis
Acute exacerbation of chronic obstructive bronchitisAcute exacerbation of mild persistent asthmaAcute exacerbation of moderate persistent asthmaAcute hypoxemic respiratory failureAcute muscle stiffness of neck
Acute severe exacerbation of asthma co-occurrent with allergic rhinitisAcute severe exacerbation of mild persistent allergic asthmaAcute severe exacerbation of mild persistent allergic asthma co-occurrent with allergic rhinitisAcute severe exacerbation of moderate persistent allergic asthmaAcute severe exacerbation of moderate persistent asthma co-occurrent with allergic rhinitis
Acute severe exacerbation of severe persistent allergic asthmaAcute severe exacerbation of severe persistent asthma co-occurrent with allergic rhinitisAcute tear of lateral meniscus of left kneeAcute tear of lateral meniscus of right kneeAcute tear of medial meniscus of left knee
Acute tear of medial meniscus of right kneeAcute tear of meniscus of left kneeAcute tear of meniscus of right kneeAcute ulcer of skinALG12-congenital disorder of glycosylation
Allergic contact dermatitis caused by chemicalAllergic contact dermatitis caused by pollenAllergic contact dermatitis due to metalAllergic rhinitis caused by insectsAllergic rhinitis caused by mold
Allergic rhinitis due to animal hair and danderAllergy to orris rootAphasia due to brain damageApparent life -threatening event in infantAsthma-chronic obstructive pulmonary disease overlap syndrome
Baby premature 28-32 weeksBaby premature 32-36 weeksBarretts esophagus with dysplasiaBarretts esophagus with high grade dysplasiaBarretts esophagus with low grade dysplasia
Bells palsy of left side of faceBells palsy of right side of faceBilateral achilles tendonitisBilateral ankle joint painBilateral blepharitis
Bilateral bursitis of shouldersBilateral conjunctivitisBilateral cyst of breastsBilateral elbow joint painBilateral heel pain
Bilateral hip joint painBilateral knee painBilateral plantar fasciitisBilateral plantar wartBilateral sacroiliac joint pain
Bilateral shoulder joint painBilateral stiffness of knee jointsBilateral temporomandibular joint disorderBilateral tendonitis of patellar tendonBilateral tendonitis of shoulders
Bilateral tendonitis of wristsBilateral thumb painBilateral trigger fingersBilateral trigger thumbsBilateral trochanteric bursitis
Bilateral wrist painBirth weight less than 500gBlast injury to eye regionBlepharitis of upper and lower eyelids of bilateral eyesBlood-tinged feces
Blue-colored urineBronchiolitis caused by influenza virusBronchitis due to chemicalBronchopneumonia due to bacteriaBronchopneumonia due to virus
Brown-colored urineBursitis of elbowBursitis of left hipBursitis of lower limbBursitis of olecranon of left elbow
Bursitis of olecranon of right elbowBursitis of right hipBursitis of upper limbCared for by female head of householdCared for by male head of household
Carer understands care planCelluitis of right handCellulitis of left footCellulitis of nasal mucous membraneCellulitis of right foot
Chronic obstructive asthma co-occurrent with acute exacerbation of asthmaChronic obstructive lung disease co-occurrent with acute bronchitisChronic otitis media of left earChronic otitis media of right earChronic pharyngolaryngitis
Chronic pneumoniaCleft of hard palate and cleft lipCleft of soft palate and bilateral cleft lipCleft of soft palate and cleft lipCleft palate and bilateral cleft lip
Complete fecal incontinenceCompliance with prescribed dietCongenital hammer toe of left footCongenital hammer toe of right footConjunctivitis of left eye
Conjunctivitis of right eyeConsent given for communication by emailConsent given for communication by short message service text messagingConsent given for telemedicine consultationContact dermatitis caused by adhesive bandage
Contact dermatitis caused by chemicalContusion of left elbowContusion of left footContusion of left handContusion of left shoulder
Contusion of right elbowContusion of right footContusion of right handContusion of right kneeContusion of right shoulder
Creamy stoolDactylitis of fingerDactylitis of toeDelivery by cesarean section for breech presentationDelivery by cesarean section for flexed breech presentation
Delivery by cesarean section for footling breech presentationDid not attend asthma reviewEmotionally stableEyeball wound due to penetrating foreign bodyFacial fracture due to fall
Facial fracture due to motor vehicle accidentFather has sole parental responsibilityFeeding intention – breast and formulaFeeding intention – formulaHearing loss in left ear
Hearing loss in right earHigh frequency sensorineural hearing loss in left earHigh frequency sensorineural hearing loss in right earHigh risk immunizationHistory obtained from person with parental responsibility
Identifies as female genderIdentifies as male genderIdentifies as non-conforming genderIdiopathic scoliosis of lumbar spineIdiopathic scoliosis of thoracic spine
Impacted cerumen in left earImpacted cerumen in right earIndeterminate sexInfection of toenailInjury of right kneee
Instability of left shoulder jointInstability of right shoulder jointIntentional drug overdose by injectable substanceIntentional drug overdose by tabletIntermittent asthma co-occurrent with allergic rhinitis
Intermittent asthma uncontrolledIntersexIntractable abdominal painIntractable low back painIrritant contact dermatitis caused by chemical
Irritant contact dermatitis caused by detergentIrritant contact dermatitis caused by metalIrritant contact dermatitis caused by rubberJoint pain in left handJoint pain in right hand
Laceration of left handLaceration of mouthLaceration of nasal septum with complicationLaceration of right handLate effect of injury to peripheral blood vessel
Lateral epicondylitis of bilateral humerusLateral epicondylitis of left humerusLeft achilles tendonitisLeft temporomandibular joint disorderLesion of skin of foot
Localized swelling of backLocalized swelling of chest wallLocalized swelling of forearmLump in left breastMild persistent allergic asthma
Mild persistent allergic asthma controlledMild persistent allergic asthma uncontrolledMild persistent asthma controlledMild persistent asthma controlled co-occurrent with allergic rhinitisMild persistent asthma co-occurrent with allergic rhinitis
Mild persistent asthma uncontrolledMild persistent asthma uncontrolled co-occurrent with allergic rhinitisModerate persistent allergic asthmaModerate persistent allergic asthma controlledModerate persistent allergic asthma uncontrolled
Moderate persistent asthma controlledModerate persistent asthma co-occurrent with allergic rhinitisModerate persistent asthma uncontrolledModerate persistent asthma uncontrolled co-occurrent with allergic rhinitisModerate persistent controlled asthma co-occurrent with allergic rhinitis
Neurocognitive disorderNonallergic eczemaObstructed labor due to abnormality of maternal pelvisObstructed labor due to disproportion between fetus and pelvisOpen wound of finger of left hand
Open wound of finger of right handOtitis externa of left earOtitis externa of right earOtitis media due to influenzaOtitis media due to scarlet fever
Otitis media of left earOtitis media of right earPain in bilateral legsPain in both feetPain in left foot
Pain in left kneePain in left sacroiliac jointPain in left thumbPain in right footPain in right hand
Pain in right heelPain in right hip jointPain in right kneePain in right sacroiliac jointPain in right thumb
Paronychia of thumbPatient clinical record lostPerforation of left tympanic membranePerforation of right tympanic membranePlantar fasciitis of left foot
Plantar fasciitis of right footPlantar reflex normalPlantar wart of left footPlantar wart of right footPressure ulcer of left leg
Pressure ulcer of skin of right ischial tuberosity regionProblem focused eye examination normalRash of groinRecurrent acute otitis media of left earRecurrent acute otitis media of right ear
Recurrent acute suppurative otitis media with spontaneous rupture of ear drumRegular bowel actionRetained foreign bodyRetained glass fragment foreign bodyRight achilles tendonitis
Right temporomendibular joint disorderRupture of anterior cruciate ligament of left kneeRupture of anterior cruciate ligament of right kneeSensorineural hearing loss in left earSensorineural hearing loss in right ear
Sepsis of newborn due to group B StreptococcusSerous otitis media of left earSerous otitis media of right earSevere persistent allergic asthmaSevere persistent allergic asthma controlled
Severe persistent allergic asthma uncontrolledSevere persistent asthma controlled co-occurrent with allergic rhinitisSevere persistent asthma co-occurrent with allergic rhinitisSevere persistent asthma uncontrolled co-occurrent with allergic rhinitisSprain of left ankle
Sprain of left hipSprain of left kneeSprain of left rotator cuff capsuleSprain of left shoulderSprain of left wrist
Sprain of right ankleSprain of right hipSprain of right kneeSprain of right rotator cuff capsuleSprain of right wrist
Sprain of trapezoid ligamentSteroid dependent asthmaStrain of left pectoral muscleStrain of left trapezius muscleStrain of muscle of left forearm
Strain of muscle of left hipStrain of muscle of left shoulderStrain of muscle of left thighStrain of muscle of left upper armStrain of muscle of left wrist
Strain of muscle of right forearmStrain of muscle of right hipStrain of muscle of right shoulderStrain of muscle of right thighStrain of muscle of right upper arm
Strain of muscle of right wristStrain of muscle of upper armStrain of pectoral muscleStrain of right pectoral muscleStrain of right trapezius muscle
Strain of shoulder muscleSubcutaneous abscess of kneeSupraglottitisSwelling of first metatarsal joint of hallux of both feetSwelling of first metatarsal joint of hallux of left foot
Swelling of first metatarsal joint of hallux of right footSwelling of left lower limbSwelling of left upper limbSwelling of right lower limbSwelling of right upper limb
Tendonitis of left patellar tendonTendonitis of left wristTendonitis of right hipTendonitis of right patellar tendonTendonitis of right shoulder
Tendonitis of right wristTendonitits of left shoulderTinnitus of left earTinnitus of right earTrigger finger of left hand
Trigger finger of right handUlcer of backUlcer of left ankleUlcer of left footUlcer of left lower leg
Ulcer of left thighUlcer of midfootUlcer of right ankleUlcer of right footUlcer of right lower leg
Ulcer of right thighUlcer of skin of lower extremityUnable to perform spirometryUnable to void urineUncontrolled pain
Underweight in childhoodUnknown handednessUpper respiratory tract allergyUpper respiratory tract infection due to avian influenzaUpper respiratory tract infection due to H1N1 influenza
Upper respiratory tract infection due to InfluenzaUpper respiratory tract infection due to Influenza AVerbalizes understandingVitreous floaters of left eyeVitreous floaters of right eye
Weakness of left armWeakness of left legWeakness of right armWeakness of right handWeakness of right leg
Weight gain dietWorsening exercise tolerance

Review Migration of Your Chart Note Diagnosis Defaults

PCC 7.2’s SNOMED-CT update includes changes to some diagnoses that you may have configured as defaults on your chart note protocols.

If a SNOMED-CT description has been retired or changed, the PCC 7.2 update will automatically update your chart note protocols with the newer version or an alternate code, so clinicians can continue to select common diagnoses on the chart note as they always have. Your practice may want to review these chart note customizations in the Protocol Configuration Tool.

For example, “Intrinsic asthma with asthma attack” was removed from the SNOMED-CT description library. If you had that description as a default on a chart note protocol, the PCC 7.2 update will replace it with “Acute Exacerbation of Intrinsic Asthma”. PCC 7.2 will automatically update your chart note protocols to display the new option on new visits, but it will preserve the history of the previous description on old chart notes.

The table below shows the updates that PCC 7.2 will perform. If your chart note protocols had a default diagnosis option listed on the left, it will be replaced with the new SNOMED-CT description found on the right.

Removed SNOMED-CT DescriptionsCodeNew SNOMED-CT DescriptionsCode
Acute swimmer’s ear194201001Acute otitis externa30250000
Adverse drug event resulting from treatment of disorder406644009Adverse drug reaction resulting from treatment of disorder708809007
Allergy106190000Allergic disposition609328004
Asthma with status asthmaticus57546000Acute severe exacerbation of asthma708090002
Baby extremely premature 28-32 weeks169851005Baby premature 28-32 weeks710235005
Baby very premature 32 to 36 weeks169850006Baby premature 32-36 weeks710068006
Body mass index high K/M2140077000Body mass index high K/M2162861002
Complex dental caries5170009Caries involving multiple surfaces of tooth442231009
Concussion81371004Concussion injury of brain110030002
Dermatitis182782007Inflammatory dermatosis703938007
Drug withdrawal syndrome in newborn61628006Drug withdrawal syndrome in neonate of dependent mother609439002
Epstein-Barr virus infection402121009Epstein-Barr virus disease240530001
Exacerbation of persistent asthma427354000Exacerbation of moderate persistent asthma707446004
Extrinsic asthma with asthma attack233681001Acute exacerbation of allergic asthma708093000
Extrinsic asthma with status asthmaticus91340006Acute severe exacerbation of allergic asthma708095007
Fetal or neonatal effect of breech delivery and extraction268808004Fetal or neonatal effect of breech delivery and extraction4787007
Fetal or neonatal effect of cesarean delivery50968003Fetal or neonatal effect of cesarean section206123007
H/O: penicillin allergy161591004Allergy to penicillin91936005
Intrinsic asthma with asthma attack233685005Acute exacerbation of intrinsic asthma708094006
Intrinsic asthma with status asthmaticus59327009Acute severe exacerbation of intrinsic asthma708096008
Migraine with prolonged aura230463007Migraine with aura4473006
Temporomandibular joint click196432004Temporomandibular joint crepitus298377005

Historical Entries are Preserved: Even if a SNOMED-CT description was retired, PCC EHR will continue to display the previously charted diagnosis in the patient’s chart note in the Visit History.

  • Last modified: February 26, 2016